DR. LAURA O NICHOLS (NPI# 1245443159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245443159 |
| Entity Type | Individual |
| Full Name | DR. LAURA O NICHOLS |
| Credential | D.D.S, M.S. |
| Practice Address |
1321 S Eliseo Dr Greenbrae CA 94904-2024 |
| Practice Telephone | 4154619755 |
| Mailing Telephone | 4154619755 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
52902 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295010007 | Laura Nichols | Dentist | 11132 California Ave, Youngtown, AZ 85363 | 2011-10-13 |
| 1992003602 | Laura Nichols | Midwife | 17921 Moon Hill Ct, Hidden Valley Lake, CA 95467-8097 | 2011-03-03 |
| 1457402836 | Laura Renae Nichols | Speech-Language Pathologist | 52 Brightling Ln, Newnan, GA 30265-5626 | 2007-01-14 |
| 1770961385 | Laura T Nichols | Counselor | 1601 E 4th Plain Blvd, Bldg 17 Ste B222, Vancouver, WA 98661-3753 | 2015-05-14 |
| 1831465269 | Laura Marie Nichols | Internal Medicine | 801 Broadway N, Fargo, ND 58102-3641 | 2012-03-29 |
| 1275834350 | Laura Nichols | Counselor | 1550 Treat Ave, San Francisco, CA 94110-5234 | 2010-11-05 |
| 1912221391 | Laura Nichols | Specialist | 246 Mariner Blvd, Spring Hill, FL 34609-5691 | 2010-03-15 |
| 1184873374 | Laura Casby Nichols | Social Worker | 1320 Arnold Dr, Suite 160, Martinez, CA 94553-6537 | 2008-09-12 |
| 1245395334 | Laura Nichols | Counselor | 5955 Zeamer Ave, Jber, AK 99506-3702 | 2006-12-27 |
| Street Address |
1321 S ELISEO DR |
| City | GREENBRAE |
| State | CA |
| Zip Code | 94904-2024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023023629 | Thomas P. Collins, Dds, A PC | Dentist | 1321 S Eliseo Dr, Greenbrae, CA 94904-2024 | 2006-07-30 |
| 1770039125 | Maya Anne Whearty | Dental Hygienist | 1321 S Eliseo Dr, Dr. Wright Suite, Greenbrae, CA 94904-2024 | 2016-08-26 |
| 1477833572 | Jason Sherman Dds, A Dental Corporation | Dentist | 1321 S Eliseo Dr, Greenbrae, CA 94904-2024 | 2011-08-19 |
| 1538456173 | Lauren Palmer Baumgartner | Dentist | 1321 S Eliseo Dr, Greenbrae, CA 94904-2024 | 2011-07-04 |
| 1700050150 | James Vincent Birrell | Dentist | 1321 S Eliseo Dr, Greenbrae, CA 94904-2024 | 2008-04-16 |
| 1477768190 | Lambert Owen Nichols | Dentist | 1321 S Eliseo Dr, Greenbrae, CA 94904-2024 | 2007-05-14 |
| 1720290307 | Mark Ohan Manoukian | Dentist | 1321 S Eliseo Dr, Greenbrae, CA 94904 | 2007-05-04 |
| 1164549044 | Gila C Dorostkar | Dentist | 1321 S Eliseo Dr, Greenbrae, CA 94904-2024 | 2007-03-23 |
| 1134250459 | Roger L Pancoska | Dentist | 1321 S Eliseo Dr, Greenbrae, CA 94904-2024 | 2007-03-08 |
| 1114016375 | Christian Carter Rohde | Dentist | 1321 S Eliseo Dr, Greenbrae, CA 94904 | 2006-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295382372 | Stacey Nicole Drew | Occupational Therapist | 4 Ash Ave, Unit 10, Kentfield, CA 94904 | 2019-08-22 |
| 1154781631 | Harvey Sparks | Specialist/Technologist, Other | 350 Bon Air, Ste 100, Greenbrae, CA 94904 | 2016-02-26 |
| 1396120481 | Tamena Potts | Counselor | 1109 Sir Francis Drake, Kentfield, CA 94904 | 2015-07-30 |
| 1598014763 | Rupali Ray Chaudhuri | Nurse Practitioner | 1341 S. Eliseo Dr, Suite 200, Greenbrae, CA 94904 | 2012-09-04 |
| 1326304809 | Lucy Yingxin Zhang | Ophthalmology | 900 S Eliseo Dr Ste 102, Greenbrae, CA 94904 | 2012-04-09 |
| 1396073185 | Bonnie Louise Hoag | Marriage & Family Therapist | 905 Sir Francis Drake Blvd., Ste. F., Kentfield, CA 94904 | 2009-12-07 |
| 1801043880 | Alexander Vogel Uihlein | Internal Medicine | 900 S Eliseo Dr Ste 201, Greenbrae, CA 94904 | 2008-08-21 |
| 1649426115 | Marilyn Thatcher | Psychologist | 1010 Sir Francis Drake Blve, Ste. 103, Kentfield, CA 94904 | 2008-08-14 |
| 1205007598 | Sir Francis Drake Dental | Dentist | 919 Sir Francis Drake Blvd, Kentfield, CA 94904 | 2008-03-14 |
| 1841401734 | Rishi K Wadhwa | Neurological Surgery | 1100 S Eliseo Dr Ste 1, Greenbrae, CA 94904 | 2007-05-24 |
| Find all providers in zip 94904 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477768190 | Lambert Owen Nichols | Dentist | 1321 S Eliseo Dr, Greenbrae, CA 94904-2024 | 2007-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861091720 | Ellen Im Dds Inc | Dentist | 13422 Pomerado Rd Ste 201, Poway, CA 92064-3548 | 2020-10-21 |
| 1104425370 | Jack Bayraymyan Dental Group Inc. | Dentist | 2621 Zoe Ave Ste A, Huntington Park, CA 90255-4131 | 2020-10-20 |
| 1669071825 | Jack Bayraymyan Dental Group Inc. | Dentist | 418 E Glenoaks Blvd Ste 202, Glendale, CA 91207-2093 | 2020-10-20 |
| 1891394060 | Jack Bayraymyan Dental Group Inc. | Dentist | 600 S Alvarado St Ste 200-201, Los Angeles, CA 90057-3314 | 2020-10-20 |
| 1790391209 | Two Front Corp | Dentist | 2408 Grandview Ave, Venice, CA 90291-4938 | 2020-09-21 |
| 1396358453 | Bridget Powers | Dentist | 1000 Ygnacio Valley Rd, Walnut Creek, CA 94598-1812 | 2020-08-28 |
| 1144832221 | Manjeet Samra Dental Corporation | Dentist | 1700 Mchenry Ave Ste 16b, Modesto, CA 95350-4319 | 2020-08-19 |
| 1154932150 | Jacqueline Morgan Payne | Dentist | 1820 Sonoma Ave Ste 36, Santa Rosa, CA 95405-6617 | 2020-08-12 |
| 1922617802 | Andrew Levin | Dentist | 7891 Talbert Ave # 2, Huntington Beach, CA 92648-8612 | 2020-07-27 |
| 1861001885 | Robert Berger | Dentist | 2529 Via Sanchez, Palos Verdes Estates, CA 90274-2805 | 2020-07-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.